We describe an unexpected complication in a 46-years-old man affected by ischemic cardiomyopathy who received prolonged mechanical cardiac support means of right transaxillary Impella 5.0. The postoperative course was complicated recurrent septicemia from multi-durg resistant Acinetobacter baumanii. He underwent implantation venoarterial extracorporeal membrane oxygenation because refractory ar...

Three patients with total anomalous pulmonary venous drainage (TAPVD) into the innominate vein were studied by using M-mode and pulsed Doppler echocardiography. An abnormal continuous flow towards the transducer in a suprasternal notch position detected by pulsed Doppler echocardiography in the left hemithorax leftward of the aortic echo is a sign of blood flow through the left vertical vein in...

We report the case of a 56-year-old man who presented with arterial hypotension, lightheadedness, vomiting, a sense of tingling in his right arm, and a right-beating horizontal nystagmus. He was initially admitted to the Intensive care unit and treated with standard vasopressor agents. A neurosonological examination showed the steal phenomenon on both vertebral arteries; the neuroradiological e...

This communication describes a modi®ed aortic root replacement technique using a cryopreserved allograft consisting of the aortic conduit and its branch. This method was applied in a patient suffering from infective pseudoaneurysm which had developed after aortic root replacement using an arti®cial graft with a mechanical aortic valve. A piece of the innominate artery obtained from the aortic a...

Anomalous Pulmonary venous connection is drainage of one or more pulmonary veins outside left atrium. Venous Connection most common on Left side upper vein drains directly into innominate to ultimately drain right Right Partial can be Superior Vena Cava, Atrium, Innominate rarely Inferior Cava.

Two children referred for cardiac imaging were found to have an unusual form of a vascular ring. The first patient was an asymptomatic 10-year-old girl with a membranous ventricular septal defect, prolapse of the right coronary aortic cusp, and mild aortic regurgitation. Her past history was notable for gastroesophageal reflux disease as an infant, which had prompted a barium swallow at a few m...

Thymic tumors are classified as stage III when they clearly invade the surrounding structures: pericardium, great vessels (superior vena cava, innominate veins, ascending aorta, and main pulmonary artery), lung parenchyma, phrenic nerves, and chest wall. Surgical treatment with or without induction therapy should always aim to complete resection removing en bloc all the involved structures. Als...

Innominate artery rupture is a rare, but usually fatal, complication of tracheal stenosis. Although prevention is key, prompt, appropriate intervention can be life saving. Hemorrhage and airway must simultaneously be controlled. Most deaths occur from exsanguination with adequate ventilation before surgical repair can be effected. In the ideal situation, the event would occur in the operating r...